Organization Active NPI

Senior Care Management, LLC

  • In Home Supportive Care Agency
  • Gulfport, MS
National Provider Identifier
1659922987
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SENIOR CARE MANAGEMENT, LLC
Practice address
600 E Pass Rd Ste B
Gulfport, MS 39507-3301
Phone
(228) 385-8503
Fax
(228) 388-0106
NPI assigned
Sep 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kearn Cherry
Title
VP, Operations Manager
Phone
(228) 385-8503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

600 E Pass Rd Ste B
Gulfport, MS 39507-3301

Mailing address

600 E Pass Rd Ste B
Gulfport, MS 39507-3301
Phone (228) 239-1867

National Provider Directory

National Provider Directory

Locations

600 E Pass Rd
#B
Gulfport, MS 39507
Phone (228) 385-8503

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1659922987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E PASS RD STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073301",
            "telephone_number": "228-239-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E PASS RD STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073301",
            "telephone_number": "228-385-8503",
            "fax_number": "228-388-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "KEARN",
        "authorized_official_title_or_position": "VP, OPERATIONS MANAGER",
        "authorized_official_telephone_number": "228-385-8503",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.